Clinical Nutrition Services, Bryan Health, Lincoln, Nebraska (Dr Hakel-Smith). Dr Ritter-Gooder is a dietitian nutrition consultant in Seward, Nebraska.

Correspondence: Nancy Hakel-Smith, PhD, RDN, LMNT, Lincoln, NE 68516 ([email protected]).

Author Contributions: Dr Hakel-Smith formulated the research question, designed the study, collected, and analyzed the data. All authors wrote the manuscript.

The authors thank Heather Rasmussen, PhD, Associate Professor, Nutrition and Health Sciences, University of Nebraska, Lincoln, for assistance in data analysis.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

This material is the result of work supported with resources and the use of facilities at Bryan Health yet does not represent the views of the Hospital.

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